Slipped laparoscopic gastric band
Sudden severe epigastric pain with marked vomiting. Past history of laparoscopic gastric band (lap band) placement.
Gastrograffin given orally prior to CT
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The lap band should sit just below the gastro-oesophageal junction. It has slipped distally to the mid body where there is now gross obstruction to the proximal 1/2 of the stomach - note food debris and no gastrografin entering the distal gastric body. Balloon within the band still distended.